Education Modules

Ultrasound learning cases are compiled in sets of software packages according to topic. Education Modules are currently available for Abdomen, Obstetrics, Gynecology, Transvaginal Gynecology, Transvaginal Obstetrics, Breast, Vascular – Carotid, Neck – Thyroid, and Emergency Medicine – FAST, Biliary, Pelvic, Abdominal Aorta.

The medical content of these modules was developed under the supervision of medical centers from Israel and the USA which include: Thomas Jefferson University Hospital, USA; University of Michigan Medical Center, USA; Meir Medical Center and Sharei-Zedek Medical Center, Israel.

Abdomen - Module 1

This is the first in a series of three modules. Module 1 is a collection of 40 clinical cases demonstrating ultrasound imaging of the abdomen, including the liver, biliary system, pancreas, spleen and kidneys. These cases demonstrate normal anatomy, anatomical variants and basic pathologies.

Sample Case List:

Liver examined in multiple planes is normal in size, contour and paranchymal pattern; right kidney shows no evidence of obstruction or disease
Normal pancreas with homogeneous pattern, normal size and contour
Normal spleen with homogeneous pattern, normal size and contour
Right renal cyst in the lateral aspect of the superior pole
Physiologic hydronephrosis of the left kidney demonstrated by dilatation of the calyces and renal pelvis

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Abdomen - Module 2

The second Module is a collection of abdominal modules with 30 clinical cases of anatomy and pathology of the liver, biliary system and pancreas. Emphasis is placed on the identification of the pathologies.

Sample Case List:

Left adrenal metastasis at the medial aspect of the spleen which has displaced the left kidney postero-laterally
Multiple hepatic cysts in the right lobe of the liver with a solid mass in the inferior aspect of the right lobe
Thrombosis within the splenic, main portal and left portal veins
Hypoechoic mass in the body and proximal tail of the pancreas as well as a small mass adjacent to the common hepatic artery and celiac trunk, possibly representing lymphadenopathy
Obstructive jaundice with dilated common hepatic and common bile ducts due to multiple gallstones

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Abdomen - Module 3 - Urinary Tract

The third module is a collection of 31 clinical cases focusing on the lower pelvis. A wide range of normal and pathological conditions are demonstrated containing the kidneys, bladder, ureters and prostate. This module is appropriate for both introductory and experienced users.

Sample Case List:

A fusiform dilated right ureter containing a small hypoechoic mass with calcifications
A large predominately hyperechoic renal mass almost completely replacing the renal parenchyma
A large inhomogeneous prostate which protrudes into the urinary bladder
Urinary bladder reveals an extensive solid mass in the inferior and left lateral aspect causing bilateral uretal obstruction
IVC tumor Thrombosis

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Obstetrics - Module 1

The first module is a collection of 28 clinical cases which demonstrate transabdominal evaluation of a pregnant woman in all trimesters. The cases include normal pregnancies as well as various fetal anomalies.

Sample Case List:

7 week fetus, visible yolk sac, right ovary with a corpus luteum cyst
Normal 16 week fetus in oblique vertex position
19 week fetus, averaged from BPD, head circumference and femur length
25 week fetus: part 1-fetal chest, abdomen and extremities, part 2-fetal head and neck
Large septated mass at posterior aspect of fetal head and neck with abdominal edema

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Obstetrics - Module 2 - Interpretation

The second module takes a fresh approach to simulation based interactive learning. Intended for UltraSim users with previous clinical obstetrical ultrasound experience, it is designed to help improve critical thinking in case interpretation and provide significant exposure to common sonographic imaging pitfalls and how to avoid them.

Sample Case List:

27 Week Fetus – Spina Bifida
24 Week Fetus – Hydronephrosis
12 Week Fetus – Normal Triplet Pregnancy
12 Week Fetus – Abnormal Triplet Pregnancy
20 Week Fetus – Hydrops

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Gynecology - Module 1

This module is a collection of 30 clinical cases demonstrating transabdominal examination of the uterus and ovaries. The cases include examples of normal anatomy, anatomical variants and basic pathologies.

Sample Case List:

Normal uterus and left ovary with an endometrioma in the left adnexal and cul-de-sac area
Normal uterus and ovaries with prominent EMC, multiple follicles in right ovary
Large right dermoid cyst, displaced right ovary
Large uterine fibroid extending from the right lateral aspect of the uterus
Pediatric examination showing normal uterus and ovaries

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Transvaginal - Module 1 - Gynecology

The first module is a collection of 30 cases demonstrating transvaginal examination of the uterus and ovaries. The cases provide examples of normal anatomy, anatomical variants and basic pathologies.

Sample Case List:

Functional hemorrhagic cyst in the right ovary
Nabothian cysts in the cervix and Ovarian Hyperstimulation Syndrome (OHS)
“Adnexal ring” sign adjacent to the right ovary
Homogeneous hypoechoic mass in the left adnexa and small uterine mass
Complex right ovarian mass containing a thick septation and internal papillary projections

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Transvaginal - Module 2 - Obstetrics

The second module is a collection of 30 cases demonstrating transvaginal evaluation of a pregnant woman in the 1st and 2nd trimesters. The cases include normal pregnancies as well as various fetal anomalies.

Sample Case List:

Normal Pregnancy, 6-11 Weeks
Hydatidiform Mole
Missed Abortion
Anencephaly, Omphalocele, Dysraphia
Meckel-Gruber Syndrome
Incomplete Abortion
Fetal Demise With Hydrops
Placenta Percreta
Eight Week Pregnancy With IUD
Cystic Hygroma
Eleven Week Twin
Pregnancy With Abnormal Third Sac

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Breast - Module 1

The module is a collection of 30 cases demonstrating examination of the breast. The cases provide examples of normal anatomy, anatomical variants and basic pathologies, including cysts, fibroadenomas, malignancies, abscesses and fat necrosis.

Sample Case List:

Malignant mass in the superior outer quadrant of the left breast
Anechoic mass, skin thickening, and a prominent duct in the inferior inner quadrant of the left breast
Complex mass in the superior outer quadrant of the right breast with a fistulous tract coursing into the skin
Correlation of suspicious mass demonstrated in a mammogram

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Vascular - Module 1 - Carotid

The module is a first in a series of modules to demonstrate general principles of Color Doppler ultrasound. The UltraSim® operates in full triplex mode with all the functions of today’s ultrasound system. Cases are taken from the arteries of the neck, carotids and vertebral.

Sample Case List:

Normal left bifurcation, ICA, ECA and vertebral artery
Normal right CCA and vertebral segments V1, V2, with no evidence of intimal thickening or plaque formation
Left ICA with several areas of plaque deposits; Color Doppler and spectral analysis demonstrate turbulent flow but normal velocities
Right ICA stenosis due to a large, heterogeneous plaque; Color Doppler demonstrates flow within the plaque; spectral broadening and elevation of the peak systolic velocity is identified
Total occlusion of the right ICA with flow reversal at the origin and dampened diastolic flow in the distal ICA and vertebral artery

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Neck - Module 1 - Thyroid

This module uses the Multi-Volume loading functionality which enables expanded presentation of the anatomy. Included in this module are 16 challenging cases focusing on the student’s/resident’s ability to practice various scanning techniques. This will enable the student/resident to identify normal and abnormal thyroid tissue, evaluate relational anatomy and understand pattern recognition commonly encountered in thyroid disease. This module is suitable for both introductory and experienced users.

Sample Case List:

An inferior pole hyperechoic solid nodule with calcifications and a thick peripheral halo
A large solid nodule entirely filling in the right lobe, with extension into the isthmus, causing compression of the remaining thyroid parenchyma
An enlarged thyroid gland containing multiple nodules with varied size and echogenicity in both lobes and isthmus
Small-sized thyroid gland with a normal sonographic pattern
Lateral aspect of the right neck reveals enlarged heterogeneous cervical lymph nodes containing solid components and microcalcifications

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Emergency Medicine - Module 1 - FAST

FAST – This is the first in a series of four modules, which incorporates MedSim’s Multi-Volume loading functionality. Multi-Volume loads multiple ultrasound data volumes for each case, providing expanded presentation of the anatomy. This functionality enhances the ability to conduct more complete examinations and improves the educational experience. The FAST Module consists of 2 CDs of which the first CD contains 10 cases each providing sequential scanning of the: Epigastrium, Right Upper Quadrant, Left Upper Quadrant and Pelvis. Each case simulates a complete clinical experience including Patient History and Physical Examination Data. The second CD contains additional learning tasks, which require the user to scan potential fluid collection areas. Included in this CD are Reference Images with Annotations, Sonographic Summaries and Discussions prepared by experts in the field.

Sample Case List:

Negative FAST
Small Amount of Fluid in Morrison’s Pouch
Moderate Amount of Fluid in the Left Chest and Perisplenic Space
Small Amount of Pericardial Fluid
Small to Moderate Amount of Fluid throughout the Abdomen and Right Chest
Increasing Amount of Fluid in the Rectovesical Pouch on Repeated FAST Exams

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Emergency Medicine - Module 2 - Biliary

The second module is a collection of 28 clinical cases with learning tasks and educational information. The Module demonstrates normal anatomy and normal variants as well as common biliary tree abnormalities.